Organization
2018 LIFE CHANGERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE M ALLEN (CEO)
(832) 683-1260
Entity
Organization
Contact information
Practice address
723 PHILLIPS AVE BLDG E, TOLEDO, OH 43612-1351
(832) 683-1260
Mailing address
515 N SAM HOUSTON PKWY E STE 208, HOUSTON, TX 77060-4133
(832) 683-1260
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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